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The Centers for Medicare and Medicaid Services' inpatient quality reporting program includes appropriate antibiotic use among community-acquired pneumonia patients in the emergency department as a performance measure. Montefiore Medical Center convened a multidisciplinary team to define…
Overcrowding and bottlenecks with patient flow plague hospitals and emergency rooms across the country. Reasons are many, but outcomes are the same: long waits and limited access to care. Ongoing evaluation of patient flow and key indicator data, including volume, length of stay, and resource…
Improving patient flow throughout the Bon Secours Charity Health System is critical to patient safety, employee and patient satisfaction, and financial well being. Bon Secours is committed to clinical transformation and improving clinical and financial measures in performance improvement projects.…
St. Vincent's Hospital Westchester, division of Saint Joseph's Medical Center began this initiative to address unacceptably high adult 15-day readmission rates to this 3,000-discharges-peryear psychiatric hospital. A multidisciplinary team was convened with the initial (and narrow)…
Experience the calming influence of Coney Island Hospital's "Code Grey" crisis prevention team in psychiatric units.
Anticoagulants have been identified as one of the top five medication classes associated with patient safety incidents in the United States. Continuum Health Partners' anticoagulation safety taskforce established a comprehensive anticoagulation safety program with the goal of reducing harm…
A temporary reduction in pharmacy hours at Clifton Springs Hospital and Clinic contributed to medication error rates in 2010 that were the highest in three years. The hospital leadership thought it had 'human-proofed' its process by requiring a double-check for overrides and medication…
With hand hygiene compliance at 37.3 percent, Syosset Hospital implemented a comprehensive approach to increase compliance: 1)'Secret shoppers' were trained to observe hand-washing practice. 2)Hand-washing signage was posted prominently throughout the facility. 3)Computer screensavers with hand…
St. Joseph's Hospital of Elmira implemented a comprehensive antibiotic usage program beginning March 2010 to enhance patient safety and improve patient outcomes. A multidisciplinary team, also known as the 'Bugs & Drugs Committee,' completed a gap analysis and formulated an action plan.…
In 2009, St. James Mercy Hospital implemented a new quality and patient safety initiative, Achieving Clinical Transformation. This initiative focused on five hospital-acquired clinical conditions: catheter-associated urinary tract infection, ventilator-associated pneumonia, pressure ulcers, falls…